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We understand that navigating the insurance process can be complex and overwhelming. At PrimeCare Orthotics & Prosthetics, we're committed to helping our patients navigate their insurance coverage smoothly. Here are some key points to help you understand and navigate the insurance process and your insurance benefits effectively.
Insurance Verification Process
When you choose PrimeCare Orthotics & Prosthetics for your orthotic and prosthetic device needs, our team will handle the insurance verification process on your behalf. We'll work closely with your insurance company to verify your coverage and determine the benefits available to you. Our experienced staff is well-versed in dealing with insurance providers and insurance claims, ensuring a streamlined verification process.
Accepted Insurance Providers
PrimeCare is contracted with most prosthetics insurance plans, including HMOs and PPOs. Some of the health insurance providers we work with include but aren't limited to:
- Wellcare by Allwell;
- Western Sky;
- Ambetter;
- Blue Cross Blue Shield;
- Humana;
- Medicare;
- NM Medicaid;
- Molina;
- Presbyterian;
- UMR;
- United Healthcare;
- WellMed;
- Tricare;
- Humana;
If your insurance provider isn't listed, please contact our team! We're continually working to expand our network and may be able to accommodate your coverage.
Medicare Coverage
We understand the importance of adhering to any requirements or limitations set forth by Medicare, and we'll answer your questions regarding eligibility, bills, deductibles, and Medicare notices to ensure you receive the care you deserve. To learn more about Medicare, visit www.medicare.gov or www.medicareadvocacy.org.
Changes to Medicare & Insurance Coverage for Adjustable Prosthetic Sockets
PrimeCare provides adjustable prosthetic socket solutions to help patients manage limb volume changes, swelling, looseness, and daily fit challenges. With recent Medicare and insurance coverage updates, these advanced socket options may be more accessible for eligible patients when medically necessary.
Because coverage depends on your plan, diagnosis, documentation, and clinical need, our team can verify your benefits and explain your options before treatment begins.Commercial Insurance Plans
PrimeCare Orthotics & Prosthetics partners with various commercial insurance plans. We have established relationships with major insurance companies that enable us to offer a broad range of prosthetic insurance coverage options for our patients. Whether you have an HMO or PPO plan, we strive to maximize your benefits and minimize your out-of-pocket expenses. Our team will work closely with your commercial insurance provider to verify your coverage and explore the available benefits for needed external prosthetic devices.
